Provider Demographics
NPI:1013711589
Name:WATT, HEATHER CHRISTINA
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CHRISTINA
Last Name:WATT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:STORY
Mailing Address - State:WY
Mailing Address - Zip Code:82842-0253
Mailing Address - Country:US
Mailing Address - Phone:406-581-1129
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 253
Practice Address - Street 2:
Practice Address - City:STORY
Practice Address - State:WY
Practice Address - Zip Code:82842-0253
Practice Address - Country:US
Practice Address - Phone:406-581-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator